The Woodland Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2590 Issued in VA

Legal business name

THE WOODLAND INC

Practice address

2003 Cobb St
Farmville, VA 23901-2603

Phone

(434) 392-6106

Fax

(434) 392-4736

NPI assigned

Jun 22, 2005

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory C Cole

Title

President Ceo

Phone

(434) 392-6106

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southside Community Nursing Home Inc Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1497751879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603",
            "telephone_number": "434-392-6106",
            "fax_number": "434-392-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603",
            "telephone_number": "434-392-6106",
            "fax_number": "434-392-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "434-392-6106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953398",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OUTPATIENT",
            "identifier": "000238527",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "215748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southside Community Nursing Home Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mona Taleb, MD/PHD
• Sarah Elizabeth Tanner, DNP-ARNP
• Charles D. Taylor, M.D.
• Taneha Terry, BACHELOR OF SCIENCE
• The Woodland Inc (The Woodland Inc Pharmacy)
• Janet Theimer, NP
• Robyn Thirkill, A-GNP-C
• Judy A Thomas, APRN
• Destiny Thompson
• Thrive Counseling and Wellness, PLLC

• Skilled Nursing Facility in Farmville, VA
• Providers in Farmville, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.